Research & Article

DoD COVID-19 PRACTICE MANAGEMENT GUIDE Clinical Management of COVID-19

ชื่อเรื่อง : DoD COVID-19 PRACTICE MANAGEMENT GUIDE Clinical Management of COVID-19

(DoD COVID-19 แนวทางปฏิบัติด้านการจัดการ COVID-19)

หน่วยงาน : Michigan Medicine, University of Michigan

เนื้อหาโดยย่อ :

Coronavirus disease 2019 (COVID-19) is a respiratory illness caused by a novel coronavirus (SARS-CoV-2). COVID-19 was first described in Wuhan, China in December 2019 and is now a global pandemic. Most of those affected have milder illness (80%), 15% will be severely ill (require oxygen) and 5% will require ICU care.(1) Of those who are critically ill, most require early intubation and mechanical ventilation. Other complications include septic shock and multi-organ failure, including acute kidney injury and cardiac injury.(2) Older age and comorbid diseases, such as COPD, hypertension and diabetes increase risk of death.(3, 4) The virus is highly contagious and spread via respiratory droplets, direct contact, and if aerosolized, airborne routes. The most common symptoms include fever, fatigue, dry cough, and shortness of breath.

The intent of this publication is to provide clinicians and medical treatment facilities (MTFs) with best practices based on latest evidence to optimize DoD response to the current COVID-19 pandemic.